INDIVIDUAL ENTRY FORM COUPE CURACAO by yoursovain

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									                 “Coupe CURACAO” 2009
                         INDIVIDUAL ENTRY FORM
                 The pre-registration deadline will be March 31, 2009

                 Please enter your informationand send the form to :
                  Coupe CURACAO <pro_escrime@yahoo.com.mx>



First Name:
Last Name:
Date of Birth :
Address:
City:
State/Region:
Nationality:
Post Code:
Email:
Federation ID:
Telephone:
Gender:             Male / Female                                                    *)
Age Group:          40-49 / 50-59 / 60+                                              *)
Epee / Foil / Sabre                                  *)                               *)
Fencing CV attached Yes / No                                                         **)

*) Leave your option and delete the non-applicable options
**) Your fencing CV is not an obligation, but we appreciate to be informed of your
results

								
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